| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $489.78 | $489.78 | |
Cigna
| Facility | $426.58 | $426.58 | $426.58 | |
Cigna
| Professional | $363.08 | $426.58 | $426.58 | |
United
| Facility | $63.10 | $478.63 | $630.96 | |
United
| Professional | $309.03 | $501.19 | $831.76 |